Marissa Makuch

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

21638 Reed Rd
Watertown, NY 13601-5048

Phone

(315) 786-0677

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marissa Makuch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Building Blocks SLP, OT & PT Family Services, PLLC

  • Early Intervention Provider Agency
  • Watertown, NY
  • NPI 1760635205
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1770138752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9026 COREY RD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015851",
            "telephone_number": "315-296-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21638 REED RD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015048",
            "telephone_number": "315-786-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKUCH",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "MAKUCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia N. Maguire, PSYD
• Susan Marie Mahoney
• Majak Podiatry, P.C.
• Andrew Reilly Majak, DPM
• Walter Hudson Majak, DPM
• Libby Anne Malcolm
• Alvin Hugh Andrew Maloney, MD
• Judith Anne Maloney, ANP
• Simi Rachel Mammen, MD
• Sydnie Rae Manarina

• Specialist in Watertown, NY
• Providers in Watertown, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.